Organization Active NPI

Your Home Speech Therapy

Doing business as Brainfood Speech Therapy

  • Speech-Language Pathologist
  • Tulsa, OK
National Provider Identifier
1891347555
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
YOUR HOME SPEECH THERAPY
Doing business as
Brainfood Speech Therapy
Practice address
5550 S Lewis Ave # 305
Tulsa, OK 74105-7118
Phone
(918) 515-0995
NPI assigned
Jul 12, 2019
Organization subpart
Yes
Parent organization
YOUR HOME SPEECH THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristen Harris, SLP
Title
Owner/SLP
Phone
(918) 515-0995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

5550 S Lewis Ave # 305
Tulsa, OK 74105-7118

Mailing address

26124 E 90TH St S
Broken Arrow, OK 74014-3263
Phone (918) 515-0995

Other practice location 1

26124 E 90th St S
Broken Arrow, OK 74014-3263
Phone (918) 515-0995

Other names 1

  • Brainfood Speech Therapy Doing business as

National Provider Directory

National Provider Directory
Part of
Your Home Speech Therapy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1891347555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26124 E 90TH ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740143263",
            "telephone_number": "918-515-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S LEWIS AVE # 305",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057118",
            "telephone_number": "918-515-0995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26124 E 90th St S",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740143263",
            "country_code": "US",
            "telephone_number": "918-515-0995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUR HOME SPEECH THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUR HOME SPEECH THERAPY",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "918-515-0995",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brainfood Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.